Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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ST George Kids Dental, PLLC

ST George Kids Dental, PLLC was paid $471K by Medicaid between Apr 2019 and Dec 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 62% of everything it billed.

33Billing provider infoST GEORGE KIDS DENTAL, PLLC
ST GEORGE, UT 84790
33aNPI1275958191assigned 03/01/2014
33bProvider typePediatric Dentist
28Total paid$471K
24GClaims17,313
24DCodes billed14
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Utah

Rank by total paid#60 of 152
Median peer was paid$311K
This provider vs. median1.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20192,297$61K
20202,732$78K
20214,648$142K
20225,205$130K
20231,302$32K
2024incomplete1,129$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 62% 2,591 2,582 $294K
D0272 Bitewings - two radiographic images 9.6% 2,016 2,011 $45K
D0150 Comprehensive oral evaluation - new or established patient 7.8% 248 248 $37K
D1120 Dental cleaning, childProphylaxis - child 5.1% 2,784 2,777 $24K
D2150 Silver amalgam - two surfaces, primary or permanent 3.7% 509 294 $17K
D1351 Sealant - per tooth 2.4% 315 50 $11K
D0230 Intraoral - periapical each additional radiographic image 1.9% 2,911 2,614 $9K
D1206 Topical application of fluoride varnish 1.9% 2,714 2,710 $9K
D2930 Prefabricated stainless steel crown - primary tooth 1.8% 124 37 $9K
D0220 Intraoral - periapical first radiographic image 1.6% 2,814 2,781 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 70 38 $4K
D0274 Bitewings - four radiographic images <1% 172 172 $2K
2 more codes
D0330 Panoramic radiographic image <1% 29 $2K
D2140 <1% 16 $575.07

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPRYOR, TRENT (MEMBER)
Same official

Other billing entities under PRYOR, TRENT

Full network →
ProviderLocationPaid
Smiles 4 Kids BurleyBurley, ID$3.36M
Richfield Kids Dental, PLLCRichfield, UT$576K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.